Rule 23-208-2.7 - Prior Approval/CertificationA. Prior approval must be obtained from the Division of Medicaid before a beneficiary can receive services through the Independent Living (IL) Home and Community-Based Waiver program. To obtain approval, the Mississippi Department of Rehabilitation Services (MDRS) must complete and submit the current Division of Medicaid-approved forms as follows: 1. Long Term Services and Supports (LTSS) Assessment, 3. Plan of Services and Supports (PSS), 4. Emergency Preparedness Plan, 6. Physician's Certification of Medical Stability and Nursing Facility Level of Care, and 7. Other supportive documentation as needed including, but not limited to, prescriptions and assistive technology recommendations. B. An eligible person can only be enrolled in one (1) Home and Community-Based Service Waiver program at a time. C. Added services must be prior approved by the Division of Medicaid. D. MDRS is responsible for implementation of the PSS. The Division of Medicaid and MDRS are jointly responsible for monitoring the PSS and the health and welfare of the participants. the Division of Medicaid, as the administrative agency of the waiver, has the overall oversight responsibility of assuring that processes are in place for PSS implementation. Monitoring the implementation of the PSS includes on site review activity, record reviews, annual recertification reviews, person phone calls from the Medicaid agency, and other strategies as needed. 23 Miss. Code. R. 208-2.7
42 C.F.R. § 441.301; Miss. Code Ann. §§ 37-33-157, 43-13-117, 43-13-121.